DMishler: Created page with "=== N. Anthracite: e-mail 8-Oct-2012 === I have made it through almost 50 pages of the 130 in the Federal Register version of the release of the Final Rule for MU Stage 2. T..."

2012-10-10T00:54:46Z

Created page with "=== N. Anthracite: e-mail 8-Oct-2012 === I have made it through almost 50 pages of the 130 in the Federal Register version of the release of the Final Rule for MU Stage 2. T..."

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=== N. Anthracite: e-mail 8-Oct-2012 ===

I have made it through almost 50 pages of the 130 in the Federal Register
version of the release of the Final Rule for MU Stage 2. There are certainly
some interesting things that have come up and I will be mentioning them in
some emails, hopefully separating threads to help us be able to look back on
these things.

One is that two more categories for Smoking Status have been added with SNOMED
codes to match. THEY CAN BE USED NOW if Matt, George and Sam want to tackle
them. The list is in the attached screen capture so I there is not question of
Typos as well as in the attached spreadsheet where I would appreciate it if
typos are recognized that you let me know about them. As for SNOMED itself,
both the JULY 2012 International and MARCH 2012 US Extensions are the SNOMED
standard for the 2014 EHR Certification Criteria.

Note that the text of the document defines light and heavy tobacco smoker and
cigars and pipes are there but not defined. Heavy is 10 or more cigarettes and
Light is less than that. The mapping can be done internally to make these
selections work for MU Stage I. It is not required that the text of the
description be what the provider picks, only that it be mapped internally to
this, so 1 PPD might be selected and mapped to Heavy tobacco smoker &/or
Current every day smoker and at least one of the latter both text and code
must be used in transition of care documents to pass the certification
criteria. This was apparently done to help make it easier to align the
Meaningful Use and NQF standards.

BTW, there is a MU common dataset but it is not the only content needed in
these documents that are needed for this stage, but Smoking Status is in the
MU Common Dataset.

'''Description''' '''SNOMED CT ID'''
Current every day smoker 449868002
Current some day smoker 48041000124106
Former smoker 8517006
Never smoker 266919005
Smoker, current status unknown 77176002
Unknown if ever smoked 266927001
Heavy tobacco Smoker 428071000124103
Light tobacco smoker 428061000124105

* > or = 10 cigarettes or ill defined cigars or pipes
% less than 10 cigarettes or undefined cigars or pipes

Smoking Status - Revision history

DMishler: Created page with "=== N. Anthracite: e-mail 8-Oct-2012 === I have made it through almost 50 pages of the 130 in the Federal Register version of the release of the Final Rule for MU Stage 2. T..."